Individual
RUTH SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., M.S., L.M.F.T
Contact information
Practice address
194 JEFFERSON AVE, TENAFLY, NJ 07670-1630
(201) 871-4601
(201) 871-3366
Mailing address
194 JEFFERSON AVE, TENAFLY, NJ 07670-1630
(201) 871-4601
(201) 871-3366
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
000355
NY
106H00000X
Marriage & Family Therapist
Primary
F1001179
NJ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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